HomeMy WebLinkAbout948300UCC FINANCING STATEMENT AMENDMENT
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
A. NAME & PHONE OF CONTACT AT FILER [optional]
Phone (800) 331-3282 Fax (818) 662-4141
B. SEND ACKNOWLEDGEMENT TO: (Name and Mailing Address) 11466 BANK OF THE WE
F -1
CT Lien Solutions
P.O. Box 29071
Glendale, CA 91209-9071
L
9b. INDIVIDUAL'S LAST NAME
RECEIVED 7/15/2009 at 2:48 PM
RECEIVING # 948300
BOOK: 727 PAGE: 535
JEANNE WAGNER
LINCOLN COUNTY CLERK, KEMMERER, WY
0-535
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
1a. INITIAL FINANCING STATEMENT FILE # 1b. This FINANCINGSTATEMENT AMENDMENT is
901403 BK563 PG145 07/27/04 CC WY Lincoln O to be filed [for record] (or recorded) in the
REAL ESTATE RECORDS.
2. EX TERMINATION: Effectiveness of the Financing Statement identified above is terminated with respect to security interest(s) of the Secured Party authorizing this Termination Statement
3. F] CONTINUATION: Effectiveness of the Financing Statement identified above with respect to the security interest(s) of the Secured Party authorizing this Continuation Statement is
continued for the additional period provided by applicable law.
4. 0 ASSIGNMENT (full or partial): Give name of assignee in item 7a or 7b and address of assignee in 7c; and also give name of assignor in item 9
5. AMENDMENT (PARTY INFORMATION): This Amendment affects ❑ Debtor or ❑ Secured Party of record. Check only one of these two boxes.
Also check one of the following three boxes and provide appropriate information in items 6 and/or 7.
CHANGE name and/or address: Give current record name in item 6a or 61b; also give new DELETE name: Give record name ADD name: Complete item 7a or 71b. and also
name (if name change) in item 7a or 71b and/or new address (if address change) in item 7c. 11 to be deleted in item 6a or 6b. item 7c; also complete items 7d-7g (if applicable)
6. CURRENT RECORD INFORMATION:
ORGANIZATION'S NAME
OR 6b. INDIVIDUAL'S LAST NAME
7Ron AME MIDDLE NAME SUFFIX
Gray d S
7. CH ANGED (NEW) OR ADDED INFORMATION:
7a. ORGANIZATION'S NAME
nR
7b. INDIVIDUAL'S LAST NAME
FIRST NAME
MIDDLE NAME
SUFFIX
7c. MAILING ADDRESS
CITY
STATE
POSTAL CODE
COUNTRY
7d. SEE INSTRUCTION
ADD'L INFO RE
7e. TYPE OF ORGANIZATION
7f. JURISDICTION OF ORGANIZATION
7g. ORGANIZATIONAL ID if any
ORGANIZATION
DEBTOR
NONE
11
8. AMENDMENT (COLLATERAL CHANGE): check only one box.
Describe collateral❑ deleted or ❑ added, or give entire❑ restated collateral description, or describe collateral❑ assigned.
9. NAME OF SECURED PARTY OF RECORD AUTHORIZING THIS AMENDMENT (name of assignor, if this is an Assignment). If this is an Amendment authorized by a Debtor which
adds collateral or adds the authorizing Debtor, or if this is a Termination authorized by a Debtor, check here Q and enter name of DEBTOR authorizing [his Amendment.
I 9a. ORGANIZATION'S NAME
Community First National Bank
OR
19407609
MOM
FIXTURE
NAME
MIDDLE NAME I SUFFIX
10. OPTIONAL FILER REFERENCE DATA
19407609 Debtor Name: Gray, Ronald S. Fossil Butte Motel Inc 00815
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT (FORM UCC3) (REV. 05/22/02) Prepared by CT Lien Solutions. P.O. Box 29071
Glendale, CA 91209-9071 Tel (800) 331-3282
UCC FINANCING STATEMENT AMENDMENT ADDENDUM
FOLLOW INSTRUCTIONS (front and back) CAREFULLY
11. INITIAL FINANCING STATEMENT FILE # (same as item 1a on Amendment form)
901403 BK563 PG145 07/27/04 CC WY Lincoln
12. NAME of PARTY AUTHORIZING THIS AMENDMENT (same as Item 9 on Amendment form)
12a. ORGANIZATION'S NAME
Community First National Bank
OR
12b. INDIVIDUAL'S LAST NAME FIRST NAME MIDDLE NAME.SUFFIX
13. Use this space for additional information
C-00536
THE ABOVE SPACE IS FOR FILING OFFICE USE ONLY
Description: The qoods are or are to become fixtures on: Lots 8, 9, 10 and 11 of Block 8 of Fairview Addition to the Town of
Kemmerer, Lincoln County, Wyoming as described on the official plat thereof
Prepared by CT Lien Solutions, P.O. Box 29071
FILING OFFICE COPY - NATIONAL UCC FINANCING STATEMENT AMENDMENT ADDENDUM (FORM UCC3Ad) (REV. 05/22102) Glendale, CA 91209.9071 Tel (800) 331-3282